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South Dakota rates for HCPCS 15776

Punch graft for hair transplant; more than 15 punch grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $501.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $616.60 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $954.99 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $1,202.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,096.48